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                  <text>,\_j

January 21, 1966

Alba-t A. Kurlend,

Wt

M. D.

Director of Research

of Mental Hygiene
State ibepital

Spring Grove

Baltimore.

Miami

DearAl:

Myouvewmhfcrmkingmmmem‘ipt
of motel}; Ill Patiwts"

"Oombimd Drug Treatment

aveilsbletous. Wehvemeditwithagveatdeal
of intereet, and despite your cannents at it length
and statistical interjections, we found these interesting
and valuable. As with our mm study, the princioel
mestion mich is in the forefront is the influence
of dosage on these commutims. In this study, the

Wine-MW
scores, differemes
also

combination showed” in
from the chlorymeine—

many

Wim-

placebo oombinetim and
ctdordiasepoxide. The problem with seeking levels

of significance from this data is that the best
dosage combinetion my not have been achieved, and

mg

the variability
the patients is sufficiently
meet so that even in powletions of forty subjects,
the differ-ewes do not achieve the statistical
differences remixed However, the fact that
ine-imipmmine arms changes in some
'pswmpBWlogioel symptoms while the mimtion
of cﬂommzine and cﬂomiaaepcmide is often
mtably poorer, provides belnvicml clues which
are mistant with the eleommphio effects
noted for moh contimtime.

I

m

(2121sz

the observation that
sewed
wipe-amino
better in those with high
depression scores. high retardation scores, and
low

agitation of west interest sime this parallels

the moontmlled obsmatime mien were carried
mt at Hillside I'bﬁpime

�Answer obsmetion which seem

is the differences

Went to

me

sales and ferrules. Them
have been many suggestions that female patients are
more semitive to mmiszims and wibit pukimonism
bah-ween

earlierendetlmerdoeeges. Iknmefewstudies
mmmmﬂwdosegewes muslledeooozdingto
body weight. Also, in e numerof mlyses of the Hillside
Hospitaldate,ﬁm££6dw\gesinduoedbyohloxpmzim,
when the clinical effects have been shown different for

by imi‘prmim were different for males and females.
Quack Hell,
with Dean Clyde. mdertodc the analysis

md

mm

sth that
higher

of the Hillside Hospital 1959—1952 data and
the W1: of bets activity pmdmed in resales

'

was

ﬁnanthetinneleson‘memdmgdosage. Withthisin

mind. the diffenemee might
physiologioel factors, even
'

stillbe related to neuro—
if Megs were omtmlled.

I also found of interest you" observation tint
chlorpmemim and placebo was sueoessful in the
alleviatim of retardation . This also is consistent
‘dﬂammmobservartions mdlbeliewthis is mother

Wasteinthismpon.
‘

Inyourmvisimofﬁsisdmft.peﬂmpsﬂxefocus

owld be plead on the clinical obsemtiorm , simly describing
the unmade used and omitting the extremive dismssion of
mﬁwdolo‘gy and uﬂmdolegioel problem . mass are

Wmm,buttheusmlmderemintemtedinthe
clinioalduteam. Ithiﬂcﬂmolinicel detais

W1:

very

clinical data presentation should
the
in
wbliehed
I’m ives or the Austrian Journal of
3:
We

and surely a

have begm the analysis of a group of schizophrenic

patients who have been pleoed serially for eight week periods
on placebo. mlordiazepoxide slam (1 tug/kg), ﬁxioridszim
alone (5 tag/kg) and the ombimtion using half strength of
each. Dosages were fixed. and the evaluations were done
during the second four week period. The patients were
long-term emiaophrenio subjects and all male. A copy
of the present. revised date malysis sheet is enolosed,

madthie

willgivemepieturemtwermheve.

meoxide

Itis

of interest to us that
alone was not
sigmifioenﬂy different than phoebe. But the smell mm
edded to a mu dose'of thioridazim was sufficient to

pmdmesignifiemtdmges inallthemtingsystem.

This, we believe, argues for an mutation of the
thioridezire effects by chlozwdiezepoxide . As you can guess,
we are now involved in the further analysis of the individual
items, and in ﬁne EEG relationships

�mummy mﬂwksforﬂwoppomdtytomdm

IdoMpeitwillbepublislwdsom.
m. but
mm.
ﬂy

Simmly yours,

Max

ijmh

Pink.

M.D.

Professor of Psychiatry

�</text>
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              <text>Correspondence to: Kurland, Albert A.</text>
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              <text>1966 </text>
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            <elementText elementTextId="21608">
              <text>&lt;a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank"&gt;Fink, Max, 1923-&lt;/a&gt;</text>
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              <text>The Max Fink Collection</text>
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              <text>&lt;a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank"&gt;IN COPYRIGHT - EDUCATIONAL USE PERMITTED&lt;/a&gt;</text>
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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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